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1p <br /> I <br /> It <br /> APPLICATION FOR PY <br /> the <br /> Eveirgra " <br /> OF <br /> cln or <br /> ZONSTR. I CTION 0 <br /> everett PERMIT <br /> DEPT OF COMMUNITI OI VELOPMENT SERVICES <br /> CITY HALL 2S9d71S <br /> EVERETT,WA 98201 ECOMBINATION ❑ BUILDING OMECHIANICAL DPLUMBING PERMIT NO. <br /> OWNER MMI AUDRRS CIII IIP PN)X! <br /> PGLP111W 1//411%5 r<a , s �3fcHDu�r ����fm yb � cy� > cs5�3C <br /> ARCHITICI OR Dt SIGNIR MAR A00111SS PITT ZIP I ONE <br /> s MVR/ s S/CiV �rS/G �! I <br /> GINIRM CONT ACID R MAIL ADDRISS fH IIP INOXE ITCt NSI R <br /> 1(5 mac Vx <br /> 5111 HANKAI CONTRACTOR MMI ADDRESS SHI !II MON! IICI XSI F <br /> ,NOS/ <br /> pit-NPINI.CONTRACTORMAL(AODRRS [OI lir INON! IRINSE 1 <br /> 5/fF/lf5 id4t lif& Iyoe-DT�L <br /> (,JA��SSS OI WORK <br /> NJNEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br /> VAII'AAIONOF WORK <br /> UISCliflal*922 <br /> '/?C'Fir <br /> "CIPOSI O Ulf I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> f��(� e�C PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> lif.Al DESCRIPTION Of PRONRtY15NOWN 0110%OR ATTACH TOUR(LOPES) OF <br /> OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> 11lJ -R�`� OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> lot stock—of OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> (.` ,;ft ANY OTHEA,STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PE ORMANCE OF CONSTRUCTION. <br /> SIGNATURE OI RACIOR OR AUTHORIZED AGENT DATE <br /> loll AUDITISt� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE <br /> IEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET ITOLIFTI AI0. UNITS-HP lA <br /> 767 REFRIGERATION UNITS—IIP EA <br /> BATHTUB <br /> LAVATORY(WASH BASINI ROILIRS—HPEA <br /> GAS FIRED AC UNITS—TONNAGE EA <br /> SHOWER <br /> KITCNIN SINK 8 DISP 00 IORC[O AIR SYSTEMS-8 T U M A <br /> DISWASM[R WALL HEATERS—BTU M <br /> UNIT HEAT[RS—BTU M <br /> LAUNDRY TRAY <br /> EVAPORATIVE COOLERS <br /> CLOTHES WASHER <br /> WA1fR 1/[AiIR <br /> CLOTHES DRYERS <br /> URINAL / VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HQQ <br /> OOD <br /> AIR HAND[INC UNIT- C F M <br /> FLOOR DRAIN <br /> VACUUM BREAKERS STOVI <br /> ROOF DRAINS—RAINLI ADI ITS METAL IIRIPLACI &CHIMNEY <br /> SINK ISE RVICt—BAR,FTC) <br /> SUR TOTAL <br /> B LO �D <br /> SUB TOTAL <br /> PERMIT f PERMIT B <br /> TOTAL FE[ S TOTAI Fie B LP <br /> PLAN CHECK FE[ <br /> 510E YARD SETBACK STR(fT SETBACK R[AR YARD SETBACK PLAN CHICK NUMBER 111 RECEIPT��� <br /> (D 2©F'7 <br /> USE ZONE LOT AREA CANT Sill Itlt VALUATION FEE <br /> 12-1 {ES ONO <br /> TYPE OI CON•N1 T_ OCCUPANCY GROUP NO OF 011 LONG UNITS , <br /> L <br /> R- BUILDING <br /> SIZE Of BLDG NO OF STORIES " MAX OCC LOAD 1 A <br /> 25 ' PLUMBING l4- { <br /> FIRE ZONE BASE MINI BIDRWMS TIRE RFQUIR INXLf RS MICHANICAL <br /> ['1Y15 O <br /> ISYSTIM <br /> VALS IT DATE OTHER <br /> ENVIRONMENTALIST UBC . ' <br /> PENALTY SIC LDARI <br /> 2 BJILDING PIANS TOTAL 23 )� <br /> S FIRE HYDRANT <br /> A LIR[ PRO11CilOPERMIT VALIDATION <br /> WHEN PROPIRLY VALIDATED TIN 1415 SPACE)THIS IS YOUR PERMIT <br /> S ORADINGIIXCAVIARINGIGRURRING I6 DRAINAGE <br /> 7 ENVIRONMENTASTATEMENT - <br /> B HIMTH DISTRICT __ <br /> APPLICATION ACC BY PLANS CHECKED BY APPR FOR ISSI AN(I BY <br /> R <br /> 1 � IT V <br />